Report of Overdue Accounts under all other Programs

• Legal Form Number: EIB 09-01
• Issuer: Export-Import Bank of the United States
• Subject Matter: Guarantee, Insurance
• Section: Export-Import Bank of the United States

OMB No. 3048-0028; Expires 01/31/2026

Export-Import Bank of the United States

Payment Default Report (Online)

Instructions:

•You are required to report all amounts that are overdue, even if full payment is

subsequently made by the obligor.

•Refer to your insurance policy or guarantee with respect to post-default

obligations, claim filing requirements, notice and other requirements.

•Prepare and file this default report ONLINE! at Ex-Im Online

Date of Notice:

Ex-Im Bank Guarantee/Insurance Policy number:

Guarantee/Policy Type:

Information about Installment in Default

1. Current outstanding loan balance:

2. Due Date/Payment Date of defaulted installment:

Installment number: of

3. Amount due on Due Date/Payment Date:

Default cured on (insert date):

Partial payment(s) received

•in the total amount of:

•on date(s):

No payments received in respect of amounts in default

4.Reason(s) for non-payment (check all that apply):

Slow pay typical

Increase in accounts receivable

Lack of revenues

Natural Disaster

Poor management

Country/sector economic/political events

Foreign exchange/transfer problems

Equipment failure

Bankruptcy

Dispute

Other (specify):

5.Lender actions taken to correct the problem (check all that apply):

Contacts with buyer/borrower:

Letter sent

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